Ralph Smith Deloach Iii, MED,CCC-SLP | |
3615 Braselton Hwy, Suite 103, Dacula, GA 30019-5906 | |
(678) 377-9634 | |
(678) 377-9609 |
Full Name | Ralph Smith Deloach Iii |
---|---|
Gender | Male |
Speciality | Speech-language Pathologist |
Location | 3615 Braselton Hwy, Dacula, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730255035 | NPI | - | NPPES |
10035715 | Medicaid | GA | |
305500 | Medicaid | GA | |
52813029-001 | Other | GA | BCBS PROVIDER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP004677 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ralph Smith Deloach Iii, MED,CCC-SLP 3615 Braselton Hwy, Suite 103, Dacula, GA 30019-5906 Ph: (678) 377-9634 | Ralph Smith Deloach Iii, MED,CCC-SLP 3615 Braselton Hwy, Suite 103, Dacula, GA 30019-5906 Ph: (678) 377-9634 |
Heidi Lawson Clayton, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3615 Braselton Hwy Ste 103, Dacula, GA 30019 Phone: 678-377-9634 Fax: 678-377-9609 | |
Katherine S. Gentzel, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3615 Braselton Hwy Ste 103, Dacula, GA 30019 Phone: 678-377-9634 Fax: 678-377-9609 | |
Adelyn Joy Simmons, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3615 Braselton Hwy Ste 103, Dacula, GA 30019 Phone: 678-377-9634 Fax: 678-377-9609 | |
Stephanie Perez, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3615 Braselton Hwy Ste 103, Dacula, GA 30019 Phone: 678-377-9634 Fax: 678-377-9609 | |
Emily Ferreira, MED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2089 Teron Trce Ste 120, Dacula, GA 30019 Phone: 770-904-6009 | |
Allison Mac Rounds, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3615 Braselton Hwy Ste 103, Dacula, GA 30019 Phone: 678-377-9634 Fax: 678-377-9609 | |
Christine Law, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 375 Franklin Dr, Dacula, GA 30019 Phone: 770-995-9600 Fax: 770-995-9604 |